Active NPI
Shauna Talburt, PNP
- Pediatric Nurse Practitioner
- San Jose, CA
National Provider Identifier
1952436537
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 11796
- Practice address
- 6489 Camden Ave
San Jose, CA 95120-2849 - Phone
- (408) 268-1122
- NPI assigned
- Feb 22, 2007
- Last updated
- Dec 11, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 11796 | CA | Primary |
Addresses
Primary practice location
6489 Camden Ave
San Jose, CA 95120-2849
Mailing address
6489 Camden Ave Ste 102
San Jose, CA 95120-2850
Phone (408) 268-1122
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11796 | CA | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Almaden Pediatrics, Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Pediatrics Physician
- San Jose, CA
- NPI 1790929750
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1449792000000",
"number": "1952436537",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6489 CAMDEN AVE STE 102",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951202850",
"telephone_number": "408-268-1122",
"fax_number": "408-268-5215"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6489 CAMDEN AVE",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951202849",
"telephone_number": "408-268-1122"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TALBURT",
"first_name": "SHAUNA",
"credential": "PNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-22",
"last_updated": "2015-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "CA",
"license": "11796",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.